Theophylline [878X]

Test Code
6311


CPT Codes
80198

Preferred Specimen
1 mL serum collected in a red-top tube (no gel)


Minimum Volume
0.2 mL


Other Acceptable Specimens
Plasma collected in: Sodium heparin (green-top) tube, lithium heparin (green-top) tube, or EDTA (lavender-top) tube


Instructions
Collect as a trough just prior to next dose.


Transport Container
Plastic screw-cap vial


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 6 days
Refrigerated: 7 days
Frozen: 90 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Serum separator tube (SST)


Methodology
Immunoassay (IA)

Setup Schedule
Set up: Mon-Thurs p.m.; Report available: Next day


Reference Range
≤5 Months 5.0-10.0 mg/L
>5 Months 10.0-20.0 mg/L


Clinical Significance
Theophylline is used in the treatment of bronchial asthma as well as in the treatment of chronic obstructive pulmonary disease and episodes of prolonged apnea in pre-term infants. Theophylline levels are monitored to assure adequate therapeutic levels are achieved and to avoid toxicity.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.